DR. PUYA DAVOODI (NPI# 1457432601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457432601 |
| Entity Type | Individual |
| Full Name | DR. PUYA DAVOODI |
| Credential | MD |
| Practice Address |
1296 Sims St Ste B Gainesville GA 30501-3835 |
| Mailing Address |
1296 Sims St Ste B Gainesville GA 30501-3873 |
| Practice Telephone | 7705341856 |
| Practice Fax Number | 7705310355 |
| Mailing Telephone | 7705341856 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 062833 | GA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | LL25628 | SC | Allopathic & Osteopathic Physicians |
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
062833 | GA | Allopathic & Osteopathic Physicians |
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
ME111956 | FL | Allopathic & Osteopathic Physicians |
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
TRN13669 | FL | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 062833 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 006099600 | 05 |
| Street Address |
1296 SIMS ST STE B |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-3835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578547832 | Dawn M Ferrer | Physician Assistant | 1296 Sims St Ste B, Gainesville, GA 30501-3873 | 2005-12-01 |
| 1629566385 | Camden Michael Thurmond | Physician Assistant | 1296 Sims St Ste B, Gainesville, GA 30501-3873 | 2018-04-27 |
| 1184733370 | Ed A. Abell | Plastic Surgery | 1296 Sims St Ste B, Gainesville, GA 30501-3850 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225185028 | Donald J Campbell | Plastic Surgery | 1296 Sims St., Suite B, Gainesville, GA 30501-0001 | 2007-01-04 |
| 1548336886 | Mark Arlen Clayman | Plastic Surgery | 2206 Nw 4th Pl, Gainesville, FL 32603-1407 | 2006-11-28 |
| 1063458768 | John William Tyrone | Plastic Surgery | 1204 Nw 69th Ter, Ste. F, Gainesville, FL 32605-3158 | 2006-06-21 |
| 1285682393 | Richard L Nesmith | Plastic Surgery | 6801 Nw 9th Blvd, Suite 2, Gainesville, FL 32605-4269 | 2006-05-04 |
| 1922497999 | Roger T. Brill, Md,facs,pa | Plastic Surgery | 6520 Nw 9th Blvd, Gainesville, FL 32605-4205 | 2015-01-14 |
| 1750721585 | Noah Harrison Prince | Plastic Surgery | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2013-06-25 |
| 1467719658 | Ellen Stolle Satteson | Plastic Surgery | 4037 Nw 86th Ter, Gainesville, FL 32606-9277 | 2012-04-12 |
| 1780940262 | Sarah Sorice Virk | Plastic Surgery | 4037 Nw 86th Ter, Gainesville, FL 32606-9277 | 2012-04-09 |
| 1871746263 | John S Poser Md Pa | Plastic Surgery | 720 Sw 2nd Ave, Suite 452, Gainesville, FL 32601-6271 | 2008-10-29 |
| 1306028238 | Northeast Georgia Plastic Surgery | Plastic Surgery | 1296 Sims St, Suite B, Gainesville, GA 30501-3850 | 2007-12-03 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.